Organization Active NPI

United Church Homes, Inc

  • Skilled Nursing Facility
  • Upper Sandusky, OH
National Provider Identifier
1619007879
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
UNITED CHURCH HOMES, INC
Practice address
800 Mission Dr
Upper Sandusky, OH 43351-1067
Phone
(740) 382-4885
Fax
(740) 382-4884
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rob L Weisbrodt
Title
Vice President, It Service
Phone
(740) 382-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

800 Mission Dr
Upper Sandusky, OH 43351-1067

Mailing address

PO Box 1806
170 E. Center St
Marion, OH 43301-1806
Phone (740) 382-4885

Other names 1

  • Fairhaven North Campus Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1619007879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "address_2": "170 E. CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433011806",
            "telephone_number": "740-382-4885",
            "fax_number": "740-382-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MISSION DR",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511067",
            "telephone_number": "740-382-4885",
            "fax_number": "740-382-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "WEISBRODT",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT, IT SERVICE",
        "authorized_official_telephone_number": "740-382-4885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairhaven North Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.